Physician
Schwartz, John
Schwartz, John was paid $27K by Medicaid between Jun 2021 and Dec 2022, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.
33Billing provider infoSCHWARTZ, JOHN
HANOVER, PA 17331
HANOVER, PA 17331
33aNPI1144214602assigned 09/09/2005
33bProvider typeFamily Medicine Physician
28Total paid$27K
24GClaims810
24DCodes billed6
24AFirst – last monthJun 2021 – Dec 2022
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#1,216 of 2,756
Median peer was paid$19K
This provider vs. median1.4×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 221 | $7K | |
| 2022 | 589 | $20K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 59% | 504 | 495 | $16K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 18% | 99 | 96 | $5K |
| 87428 | 10% | 123 | 122 | $3K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.6% | 39 | 39 | $2K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 4.2% | 33 | 33 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 12 | 12 | $298.94 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.